Healthcare Provider Details

I. General information

NPI: 1063716181
Provider Name (Legal Business Name): TAMEISHA SAPPINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2011
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4538 W CRAIG RD STE 290
NORTH LAS VEGAS NV
89032-2508
US

IV. Provider business mailing address

4538 W CRAIG RD STE 290
NORTH LAS VEGAS NV
89032-2508
US

V. Phone/Fax

Practice location:
  • Phone: 702-486-5610
  • Fax:
Mailing address:
  • Phone: 702-486-5610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIC-2344
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: